38 y/o female,
G3P1SA1, GA 27th +2 week,
vaginal spotting for two weeks and low abdominal pain for one day
underlying dx
Spinal cord injury (T10), paraplagia since 1989
Neurogenic bladder with detrusor sphincter dyssynergy
Urinary and defecation dysfunction
GDM: 2008/09/06 OGTT test abnormal
present illness
G3P1SA1, GA 27th +2 week, previous C/S due to pelvic deformity
Twin pregnancy
2008/09/19, vaginal spotting
2008/09/26, lower abdominal pain迳came to our emergency department迳bloody
show and uterine contraction
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學姐主要要我們報告安胎藥物的使用,機轉,副作用等等
這位病人一開始是用Yutopar和MgSO4
後來就都用Yutopar.
此外這位病人有些其他東西可以了解一下:
1. GDM
2. UTI (可能是因為urine retension造成的infection)
3. spinal cord injury, T10, paraplagia
對產婦懷孕生產是否有影響?
不過我們只有兩位同學報告,
另一位同學主要準備安胎藥物,
我是報history啦,
以上我提出的幾點並不會有獨立的discussion~
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